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مقایسه اثربخشی تحریک الکتریکی فراجمجمه‌ای مغز (tDCS) و توانبخشی شناختی مبتنی بر رایانه بر بهبود تکانشگری کودکان مبتلا به اختلال نقص توجه/ بیش‌‌فعالی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

2 استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

3 استادیار، گروه روان‌پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران

10.30468/jsums.2024.7701.3008

چکیده

زمینه و هدف: پژوهش حاضر با هدف مقایسه اثربخشی تحریک الکتریکی فراجمجمه­ای مغز و توانبخشی شناختی مبتنی بر رایانه بر بهبود تکانشگری کودکان مبتلا به اختلال نقص توجه/ بیش­فعالی انجام شد.
مواد و روش­ها: پژوهش حاضر شبه ­­آزمایشی با طرح پیش‌آزمون- پس‌آزمون و گروه کنترل بود. به روش نمونه­ گیری هدفمند 60 کودک دارای اختلال نقص توجه/ بیش­فعالی انتخاب شدند و به‌صورت تصادفی در سه گروه آزمایش 1، آزمایش 2 و کنترل (هر گروه 20 نفر) جایگزین شدند. داده­ ها با استفاده از مقیاس درجه­بندی والدین کانرز (1978)، آزمون هوش ریون (2000) و پرسش‌نامه تکانشگری بارت (1995) جمع­آوری شد. آزمودنی­های گروه آزمایش 1، تحریک الکتریکی مغز را دریافت کردند. گروه آزمایش 2 نیز مداخله توانبخشی شناختی را دریافت کردند. گروه کنترل، مداخله­ای را دریافت نکرد. تجزیه‌وتحلیل داده‌ها با تحلیل کواریانس چندمتغیره (مانکوا) و آزمون تعقیبی بونفرونی انجام شد.
یافته­ها: نتایج نشان داد که گروه­ های آزمایشی تحریک الکتریکی مغز و توانبخشی شناختی از تکانشگری پایین­تری در مقایسه با گروه کنترل برخوردار بودند. همچنین با کنترل اثر پیش­آزمون در دو گروه آزمایشی، بین دو روش تحریک الکتریکی فراجمجمه­ای مغز و توانبخشی شناختی، تفاوت معنی­داری وجود دارد (0/05>P) و تحریک الکتریکی فراجمجمه­ای مغز اثربخشی بیشتری در بهبود تکانشگری کودکان مبتلا به اختلال نقص توجه/ بیش­ فعالی داشته است.
نتیجه‌گیری: با توجه به نتایج به‌دست‌آمده، می­توان گفت تحریک الکتریکی مغز و توانبخشی در بهبود تکانشگری کودکان مبتلا به اختلال نقص توجه/ بیش­فعالی اثربخش بودند.بنابراین از هر دو مداخله در بهبود تکانشگری این کودکان می­توان استفاده کرد.

تازه های تحقیق

https://scholar.google.com/citations?user=gpE7H_YAAAAJ&hl=fa

https://pubmed.ncbi.nlm.nih.gov/?term=sara+taghizadeh+hir

https://scholar.google.com/citations?hl=fa&user=qyXbguQAAAAJ

https://pubmed.ncbi.nlm.nih.gov/?term=MOHAMMAD+NARIMANI

https://scholar.google.com/citations?hl=fa&user=RS5jv3wAAAAJ

https://pubmed.ncbi.nlm.nih.gov/?term=seyfollah+aghajani

https://scholar.google.com/citations?user=RIxPlNUAAAAJ&hl=fa&authuser=3

https://pubmed.ncbi.nlm.nih.gov/?term=Nader-Mohammadi+M&cauthor_id=37649038

https://pubmed.ncbi.nlm.nih.gov/?term=Nader-Mohammadi+M&cauthor_id=37649038

https://scholar.google.com/citations?user=bU4ZV34AAAAJ&hl=fa

https://pubmed.ncbi.nlm.nih.gov/?term=Basharpoor+S&cauthor_id=36155238

 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of the Effectiveness of Transcranial Direct Current Stimulation (tDCS) and Computer-based Cognitive Rehabilitation on Improving Impulsivity in Children with Attention Deficit- Hyperactivity Disorder

نویسندگان [English]

  • Sara Taghizadeh Hir 1
  • Mohammad Narimani 2
  • Aghajani Seyfollah 2
  • Mehriar Nadrmohammadi 3
  • Sajjad Basharpoor 2

1 PhD Student of Psychology, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

2 Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

3 Assistant Professor, Faculty of Medicine, Department of Psychiatry, Ardabil University of Medical Sciences, Ardabil, Iran. Mehriar

چکیده [English]

Introduction: The purpose of this study was to compare the effectiveness of Transcranial Direct Current Brain Stimulation (tDCS) and computer-based cognitive rehabilitation on improving impulsivity in children with attention-deficit/ hyperactivity disorder.
Materials and Methods: The current research design was quasi-experimental with pre-test-post-test and control group. 60 children with attention-deficit/ hyperactivity disorder were selected by purposeful sampling and randomly placed in three groups: experiment 1, experiment 2, and control (20 people in each group). Data were collected using Connors Parent Rating Scale (1978), Raven's Progressive Matrices Test (2000), and Barrett's impulsivity questionnaire (1995). The subjects of the first experimental group received Transcranial Direct Brain Stimulation and the second experimental group also received Captain Log's rehabilitation intervention. The control group did not receive any intervention. Data were analyzed with covariance analysis and Bonferroni's post hoc test.
Results: The results showed that experimental groups had lower impulsivity compared with the control group. Also, by controlling the effect of the pre-test in the two experimental groups, there is a significant difference between the two methods of transcranial direct current brain stimulation and computer-based cognitive rehabilitation (P<0.05), and transcranial direct current brain stimulation is more effective in improving the impulsivity in children with attention-deficit/ hyperactivity disorder.
Conclusion: According to the results, it can be said that the intervention of transcranial direct brain stimulation and cognitive rehabilitation was effective in improving impulsivity in children with attention-deficit/ hyperactivity disorder. Therefore, both interventions can be used to improve impulsivity in these children.

کلیدواژه‌ها [English]

  • Transcranial Direct Current Stimulation (tDCS)
  • Cognitive Rehabilitation
  • Impulsivity
  • Attention Deficit- Hyperactivity Disorder
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مجله دانشگاه علوم پزشکی سبزوار
دوره 31، شماره 2
خرداد و تیر 1403
صفحه 133-145
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  • تاریخ دریافت: 13 آذر 1402
  • تاریخ بازنگری: 22 بهمن 1402
  • تاریخ پذیرش: 23 بهمن 1402
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